Tyson Joseph Tabora, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3687 Issued in FL

Practice address

12989 Southern Blvd Ste 205
Loxahatchee, FL 33470-9291

Phone

(561) 809-2343

Fax

(888) 491-0775

NPI assigned

Mar 6, 2015

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tyson Tabora DPM PA

  dba The Foot and Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Loxahatchee, FL
  • NPI 1568964633
  Medicare reassignment Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Palms West Hospital Limited Partnership

  dba HCA Florida Palms West Hospital

  • General Acute Care Hospital
  • Loxahatchee, FL
  • NPI 1528014669
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1881087443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12989 SOUTHERN BLVD STE 205",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709291",
            "telephone_number": "561-809-2343",
            "fax_number": "888-491-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12989 SOUTHERN BLVD STE 205",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709291",
            "telephone_number": "561-809-2343",
            "fax_number": "888-491-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABORA",
        "first_name": "TYSON",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-06",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDIAL NPI NUMBER",
            "identifier": "1881087443",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Lawrence Stragnell, MD
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• Sunshine Nanas Home Health LLC
• Supreme Marketing LLC
• Kaitlin Kristine Tagg, DO
• Sushil Talreja
• Don Tanabe, MD
• Jennifer Tarducci
• Jennifer Renee Temps-Turner, OTR/L

• Podiatrist in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.